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JEFFREY PECK MD
NPI 1679835219
Orthopaedic Surgery - Pediatric Orthopaedic Surgery in Dallas, TX

Active since June 11, 2012PECOS Enrolled
2222 WELBORN ST, DALLAS, TX 75219(214) 559-8430(214) 559-7570 Get Directions Write a Review

NPPES record last updated: July 21, 2022. Verified against the NPPES registry weekly; last sync: October 18, 2026.

Record update history: Jul 21, 2022, Jul 14, 2017 (2 updates tracked since 2017).

About Jeffrey Peck Md NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

JEFFREY PECK MD (NPI 1679835219) is an individual pediatric orthopaedic surgery provider in Dallas, Texas, licensed in Texas (R1104) and active in the NPI registry since June 2012. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1679835219
Entity TypeIndividualMale
Primary Taxonomy207XP3100X
Provider Legal NameJEFFREY PECKCredential: MD
Location Address2222 WELBORN STDallas, TX 75219-3924
Mailing Address2222 Welborn StDallas, TX 75219-3924 · (214) 559-8430 · Fax (214) 559-7570
Phone(214) 559-8430
Fax(214) 559-7570
Sole ProprietorNo
Enumeration DateJune 11, 2012
Last NPPES UpdateJuly 21, 20222 updates tracked since enumeration
✔ NPI 1679835219 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyOrthopaedic Surgery · Pediatric Orthopaedic SurgeryAllopathic & Osteopathic Physicians
Taxonomy Code207XP3100X
License✔ Licensed in TX · R1104
Definition
An orthopedic surgeon who has additional training and experience in diagnosing, treating and managing musculoskeletal problems in infants, children and adolescents. These may include limb and spine deformities (such as club foot, scoliosis); gait abnormalities (limping); bone and joint infections; broken bones.
Also ListedOrthopaedic SurgeryTaxonomy 207X00000X · License 5315055844 (MI), 4301101089 (MI)
2222 WELBORN ST, Dallas, TX 75219
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Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Jeffrey Peck Md is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency✔ Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Medicare Billing Reassignment

Medicare enrollment records show Jeffrey Peck reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Children's Hospital
1,186 mi
Pediatrics
111 MICHIGAN AVE NW
Washington, DC 20010
  • Reassigned Medicare billing, District of Columbia enrollment
  • 1,417 clinicians in this Medicare group
NPI 1780800128 (202) 476-5000

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

MELINDA POWELL M.S.
Speech-Language Pathologist
2222 WELBORN ST
DALLAS, TX 75219
Dallas County (214) 559-5000
COURTNEY GYNE SCHNEIDAU PA
Physician Assistant
2222 WELBORN ST
DALLAS, TX 75219
Dallas County (214) 559-5000
LINDSAY CHIU PT, DPT
Physical Therapist
2222 WELBORN ST
DALLAS, TX 75219
Dallas County (214) 559-7790
ZHI LI MD
Orthopaedic Surgery (Pediatric Orthopaedic Surgery)
2222 WELBORN ST
DALLAS, TX 75219
Dallas County (214) 559-7894
KRISTIANA RHAE KIESSLING
Orthotist
2222 WELBORN ST
DALLAS, TX 75219
Dallas County (214) 559-7440
MRS. TARA SOLOMON PA-C
Physician Assistant
2222 WELBORN ST
DALLAS, TX 75219
Dallas County (214) 559-7831
CAROLINE ROBERTS PH.D.
Psychologist (Clinical Child & Adolescent)
2222 WELBORN ST
DALLAS, TX 75219
Dallas County (214) 559-5000
DAVID ALEXANDER PODESZWA MD
Orthopaedic Surgery
2222 WELBORN ST
DALLAS, TX 75219
Dallas County (214) 559-5000

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Jeffrey Peck's NPI number?

The NPI number for Jeffrey Peck is 1679835219. It was assigned to this individual provider in the NPPES registry on June 11, 2012.

Where is Jeffrey Peck located?

Jeffrey Peck practices at 2222 Welborn St, Dallas, TX 75219. The listed phone number is (214) 559-8430.

What is Jeffrey Peck's specialty?

The primary specialty registered for this NPI is Orthopaedic Surgery, specializing in Pediatric Orthopaedic Surgery, with taxonomy code 207XP3100X.

Is Jeffrey Peck enrolled in Medicare?

Yes. Jeffrey Peck is registered in the Medicare PECOS enrollment system.

Which organization bills Medicare for Jeffrey Peck's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Jeffrey Peck reassigns Medicare benefits to Children's Hospital (Washington, DC). The reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Jeffrey Peck's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

When was this NPI record last updated?

The NPPES record for Jeffrey Peck was last updated on July 21, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.